巨大裂孔ヘルニアを合併したバレット食道腺癌に対して胸腔鏡・腹腔鏡補助下 に食道裂孔ヘルニア修復と食道切除再建術を施行した1 例

Toshiaki Fukutomi, Hirofumi Ichikawa, Kazuaki Hatsugai, Masato Ohara, Shigeru Ottomo, Akefumi Sato, Atsushi Kohyama, Taiki Kajiwara, Yuko Itakura, Toru Takahashi

研究成果: Article査読

抄録

We report a case of Barrett adenocarcinoma with coexisting giant hiatal hernia presenting an upside-down stomach (UDS). Hiatal hernia repair and Ivor-Lewis esophagectomy were simultaneously performed by laparoscopic and thoracoscopic approaches. A 68-year-old man was given a diagnosis of type IV hiatal hernia with UDS. Upper gastrointestinal endoscopy revealed an early-stage adenocarcinoma in the long-segment Barrett esophagus. The operation was initiated with laparoscopy. It took time to reposition the herniated stomach because of severe intrasaccular adhesion and the massive greater omentum occupying the sac. The stomach was mobilized and repositioned after adhesiolysis and partial resection of the omentum. The cardia was transected and the gastric conduit was prepared extracorporeally. Crural repair was performed by interrupted sutures and reinforced with a prosthetic mesh. Then, the thoracoscopic part was performed in the prone position. The thoracic esophagus was mobilized and the specimen was retrieved after transecting the esophagus at the level of the azygos arch. Esophagogastrostomy was created with an endoscopic linear stapler and hand-sewn closure of the entry hole. From the viewpoint of pulmonary function and securing the visual field in the sac, minimally invasive surgery was useful.

寄稿の翻訳タイトルBarrett esophageal adenocarcinoma with coexisting giant hiatal hernia, treated with simultaneous hiatal hernia repair and esophagectomy by thoracoscopic and laparoscopic approaches
本文言語Japanese
ページ(範囲)239-246
ページ数8
ジャーナルJapanese Journal of Gastroenterological Surgery
52
5
DOI
出版ステータスPublished - 2019
外部発表はい

Keywords

  • Barrett esophageal adenocarcinoma
  • Endoscopic surgery
  • Esophageal hiatal hernia

ASJC Scopus subject areas

  • 外科
  • 消化器病学

フィンガープリント

「巨大裂孔ヘルニアを合併したバレット食道腺癌に対して胸腔鏡・腹腔鏡補助下 に食道裂孔ヘルニア修復と食道切除再建術を施行した1 例」の研究トピックを掘り下げます。これらがまとまってユニークなフィンガープリントを構成します。

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